APPLICATION FOR CAPITOL COMPLEX EXHIBITION PROGRAM 1) Name of Artist or Organization:_________________________________________________________________ 2) Address:___________________________________________________________________________________ (Street) FLORIDA ______ (City) (State) (Zip) 3) Contact Person: _____________________________________________________________________________ 4) Telephone: 5) Email:_____________________________ (Work/Studio) (Fax) 6) Web Site:__________________________ 7) Title of exhibit: ______________________________________________________________________________ 8) Media to be included: ________________________________________________________________________ 9) Estimated size of exhibit in running feet: _________________________________________________________ 10) Estimated number of works: ___________________________________________________________________ 11) Brief statement of the cultural significance of the exhibit for the people of Florida:__________________________ 12) Preferred dates for exhibit (2-3 month minimum): ___________________________________________________ 13) Special considerations or needs for exhibit: _______________________________________________________ ______________________________________________________________________________________ 14) Questions or comments: ______________________________________________________________________ ______________________________________________________________________________________ ________________________________ ____________________ (Signature) (Date) RETURN TO: Capitol Complex Exhibition Program Florida Division of Cultural Affairs 500 South Bronough St, Third Floor Tallahassee, FL 32399-0250 The following items must be submitted with application: 1. Artist's resume / biography. 2. Color slides, photographs or CD with digital images of artworks intended for the exhibit. 3. Slide / Image identification sheet listing artist, title, medium, dimensions, & date of completion for each artwork. 4. Interpretive paragraph or exhibition mission statement that could be included in the proposed exhibit or brochure. 5. Signed form indicating acknowledgement of CCE Policies and Procedures. 03/07 CA2E093

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APPLICATION FOR CAPITOL COMPLEX EXHIBITION PROGRAM

1) Name of Artist or Organization:_________________________________________________________________

2) Address:___________________________________________________________________________________ (Street)

FLORIDA ______(City) (State) (Zip)

3) Contact Person: _____________________________________________________________________________

4) Telephone: 5) Email:_____________________________ (Work/Studio) (Fax)

6) Web Site:__________________________

7) Title of exhibit: ______________________________________________________________________________

8) Media to be included: ________________________________________________________________________

9) Estimated size of exhibit in running feet: _________________________________________________________

10) Estimated number of works: ___________________________________________________________________

11) Brief statement of the cultural significance of the exhibit for the people of Florida:__________________________

12) Preferred dates for exhibit (2-3 month minimum): ___________________________________________________

13) Special considerations or needs for exhibit: _______________________________________________________

______________________________________________________________________________________

14) Questions or comments: ______________________________________________________________________

______________________________________________________________________________________

________________________________ ____________________ (Signature) (Date)

RETURN TO: Capitol Complex Exhibition Program Florida Division of Cultural Affairs

500 South Bronough St, Third Floor Tallahassee, FL 32399-0250

The following items must be submitted with application: 1. Artist's resume / biography. 2. Color slides, photographs or CD with digital images of artworks intended for the exhibit. 3. Slide / Image identification sheet listing artist, title, medium, dimensions, & date of completion for each artwork. 4. Interpretive paragraph or exhibition mission statement that could be included in the proposed exhibit or brochure. 5. Signed form indicating acknowledgement of CCE Policies and Procedures.

03/07 CA2E093